Are you smart about Health Insurance? Use this simple quiz to test your Health Insurance IQ. Choose your answers carefully, then use the form at the bottom of the page to get your results. After you have finished, choose another category. 1. What is a preexisting condition? a. A physical or mental condition for which medical advice is received before the effective date of the policy b. An aspect of your insurance policy which is determined before you sign it and cannot be altered c. A physical or mental condition from childhood that continues as an adult d. A physical or mental condition that is discovered after the effective date of the policy 2. What is an HMO? a. Health & Medical Organization - the governing body over the entire medical field b. Health Maintenance Organization - a managed care plan which has the ability to choose your primary care physician from a list of network providers c. Humane Management of Ostriches - a group that protects the rights of ostriches everywhere d. Healthcare Management of Oncology - the process by which cancer patients care for themselves 3. Which answer best describes a qualified plan? a. Qualified plans make it into the health insurance playoffs while non-qualified plans do not b. Benefits paid by a qualified long-term care plan generally are not taxable as income c. A qualified plan never has restrictions on what procedures and healthcare it covers d. Benefits paid by a qualified long-term care plan generally are taxable as income 4. If you change jobs or become unemployed, can you bring your coverage with you? a. You may carry your group health insurance coverage with you to a new job for up to 18 months b. When you leave your job, it is the decision of your employer c. You may carry your group insurance, but your premiums will nearly double d. Absolutely not 5. Can you buy an individual policy? a. No, you must be employed and receive health insurance as part of a benefits package. b. Yes, but only if it is approved by the Office of Individual Insurance c. No, individual policies are no longer offered by insurance companies d. Yes, if you are unemployed, return to school or are self-employed, you may want to buy an individual health insurance policy 6. What out-of-pocket costs should you consider in choosing a plan? a. Premiums (periodic fees charged regardless of how many services you use) b. Deductible (yearly total amounts you must pay for one or more services before the plan will begin paying) c. Copayments (small amounts you pay each time you get a service) d. All of the above 7. What is the difference between an HMO Plan and a PPO Plan? a. PPO plans cost more b. PPO plans may offer a wider range of doctors from which to choose c. HMO plans may provide more restricted services than a PPO d. All of the Above 8. Can your employer change your health insurance carrier and level of benefits during the year? a. Yes, it is completely up to the employer whether or not they will offer health insurance to employees at all b. Yes, but it must be voted on by employees in the company, and at least a 2/3 majority is required to change c. No, they must wait until the end of the fiscal year to change carriers d. Yes, but they must also offer the former carrier as an alternative to anyone who does not wish to switch 9. What happens when your group health coverage ends? a. You must be very careful not to get hurt b. You may apply for individual health coverage under the federal law HIPAA c. Another carrier will soon take over your group health coverage d. If medical care is required, it will be performed free of charge 10. Which of these expenditures is not commonly excluded under major medical expense plans? a. Custodial care b. Physical examinations c. Emergency room visits d. Cosmetic surgery 11. If you change from one individual health policy to another, can the company impose a preexisting condition exclusion on the new policy? a. No, they must cover any and all health ailments you might have b. Yes, they have the right to make any exclusions they wish to c. Yes, but only those that were diagnosed five years or more before the effective date of the policy d. No, because that would be discrimination 12. How much notice should you get if your doctor leaves or is terminated from your health plan's network? a. None b. 30 days c. 60 days d. 1 year Back To Top Choose Another Category